Individual
DR. ELLIOT R ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1810 N JERUSALEM RD, N BELLMORE, NY 11710-1108
(516) 214-6815
Mailing address
1810 N JERUSALEM RD, N BELLMORE, NY 11710-1108
(516) 214-6815
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3967
MN
152W00000X
Optometrist
OPC6924
FL
152W00000X
Optometrist
OPT.007454
OH
152W00000X
Optometrist
Primary
T005485
NY
Other
Enumeration date
01/11/2007
Last updated
05/12/2026
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